Fall 2017- Spring 2018 FAFSA Completion Open House Golden Ticket

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* 1. Student Demo

Student First Name:

Student Last Name:

Student Email Address:

Phone Number:

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* 2. Student Grade Level

Senior in high school

Freshman in college

Sophomore in college

Junior in college

Senior in college

Other

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* 3. What high school or college do you attend?

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* 4. Where did you attend a StepUp/ UHEAA FAFSA Completion Open House (name of high school)?

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* 5. If you are a senior in high school, what college or university are you planning to attend? (If you don't know yet, that's okay.)

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* 6. Are you 18 or older? (it's okay if you're not over 18)

Yes

No

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* 7. Who assisted you today?